Laparoscopic treatment of retrocaval ureter
experience with six cases
Keywords:
Laporoscopy, Ureter, Vena cava, inferiorAbstract
The objective of the study was to report the experience of laparoscopic repair in
6 retrocaval ureter cases. Retrocaval ureter repair was made using two different
techniques: the retroperitoneal and transperitoneal approach. The mean surgery
time was 90 minutes, with no difference between the retroperitoneal and
transperitoneal procedures. All patients were allowed to eat on the first
postoperative day and discharged on the second day. Three months later, a control
assessment was made using intravenous urography with minimal dilatation, and
a diethylenetriaminepentaacetic acid renal scintigraphy with no signs of
obstruction. The patients were followed for up to 120 months and all of them
were asymptomatic. Laparoscopy can be considered a standard procedure to
treat retrocaval ureter, since studies have shown that this technique is better than
open surgery. The retroperitoneal or transperitoneal approach is up to the surgeon,
according to his or her experience and practice.
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